MILAGROS TAGORDA EBREO
Debarred entityBorn 28 Sep 1940 (86 years old),United States. Named in 4 sanctions listings.
Summary
UPIN: E93373
Sanctions and listings4
- Listed
- 21 Aug 2013
- Effective
- 20 Aug 2013
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Listed
- 3 Apr 2014
- Effective
- 30 Sep 2013
- Effective
- 20 Aug 2013
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 3 Jul 2013
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Suspended
Positions held1
Period not retained
GENERAL PRACTICE (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1376552117 |
Other names1
Also known as1
Addresses3
ALDERSON, WV 24910
Dearborn Heights, MI
GLEN RAY RD, BOX A, #43163-039, ALDERSON, WV 24910
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